Harmony Healthcare International Company Overview
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Harmony Healthcare International Company Overview
- 1. Harmony Healthcare International (HHI) Long Term Care Compliance & Reimbursement
- 2. Harmony Healthcare International How We Provide Value
- 3. How We Provide Value Consulting Talent Education Management Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 3
- 4. Consulting Compliance & Regulatory Therapy Program Reimbursement Denials Management Preparedness Development Audits/Consulting •Medicare •Mock Survey •Operational •Medical Record •MDS •Mock RAC Audit Assessments Review •PPS •QIS •Clinical Assessments Preparedness •Case Mix •Corporate Compliance •Staffing • ADR Management •Integrity •5 Star Requirements • Denial Process Education and •RAC Training •Survey •Appeal Preparation Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 4
- 5. Education Public & Private Certification & Customized Trainings Webinars Trainings Competency Courses • MDS Basics & • MDS 3.0 & RUG-IV • Denial Management • CHHRP Beyond HHI Competency • Quality Measures (Certified Harmony • MDS Coordinator • AANAC • RUG Intimacy Healthcare Rehab Mentoring Program Certification & Professional) • ADL Coding for • Skilled Nursing Re-Cert Workshops Optimal Revenue • MDS 3.0 & RUG-IV Coverage Criteria HHI Competency • Nursing & Therapy • How to Manage an Documentation • AANAC In-House Certification & • Medicare Part B Rehabilitation Re-Cert Workshops Billing Program in a SNF • QAPI • Quality Measures • Leadership • ACOs Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 5
- 6. Talent Management Talent Management Direct Contingency Exclusive Partnerships Training & Consulting Placements • Flexible solutions to • Sole provider of • The client only pays assist your in-house recruitment needs a placement fee HR/Recruiting team • Priority placements when we are to improve processes • Reduced fee successful in finding and procedures structures and placing the new hire Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 6
- 7. Harmony Healthcare International What We See
- 8. What We See Frustration of ensuring accurate and appropriate reimbursement with documentation that supports a skilled level of care Concerns as to whether or not your facility is having safe and effective discharges only after a clinically appropriate stay Worries that additional expertise is needed to ensure clinically appropriate therapy targets reviewed on a case by case basis Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 8
- 9. What We See The overwhelming complexity of the MDS review process necessary to reduce coding errors Unproductive time spent recruiting for vacant positions Increased exposure to governmental audits The need for survey compliance & readiness Billing inaccuracy related to regulatory changes Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 9
- 10. Harmony Healthcare International Our Approach
- 11. Our Approach 1 Identify Needs 2 Evaluate Options 3 Resolve Concerns Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 11
- 12. Harmony Healthcare International Our Approach: Consulting
- 13. Our Approach: Consulting Identify Needs Medicare Part A RUG Analysis: The HHI corporate office staff prepares a detailed analysis focused on the key elements that represent each RUG classification This analysis is utilized by our healthcare experts to enhance the Medicare team's approach to MDS Coding and RUG-IV intimacy Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 13
- 14. Our Approach: Consulting Evaluate Options Customized solutions for each facility Frequency Medicare Rate Improvement Case Mix PPS MDS RUGs Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 14
- 15. Our Approach: Consulting Resolve Concerns Patient Care Full Access Between Visits Accuracy of Reimbursement Survey Preparedness Compliance Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 15
- 16. Harmony Healthcare International Our Approach: Education
- 17. Our Approach: Education Identify Needs Clinical Assessment Compliance/Clinical Issues Staff Development Learning Styles/Setting Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 17
- 18. Our Approach: Education Evaluate Options Educational Approach Key Participants Frequency of Events Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 18
- 19. Our Approach: Education Resolve Concerns Patient Care Compliant Documentation Survey Preparedness Regulatory Changes Quality Care Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 19
- 20. Harmony Healthcare International Our Approach: Talent Management
- 21. Our Approach: Talent Management Identify Needs Through our one-on-one intake process we will discuss and confirm your current staffing and recruitment training needs Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 21
- 22. Our Approach: Talent Management Evaluate Options Contingency Placement Exclusive Partnerships Retained Search Talent Management Training & Consulting Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 22
- 23. Our Approach: Talent Management Resolve Concerns ROI Fees & Guarantees Resources Timelines Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 23
- 24. Harmony Healthcare International How We Do It
- 25. How We Do It Our Core Business Entails a Unique Medical Record Review Process Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 25
- 26. How We Do It Three Pronged Strategy 1. Accuracy: Through the chart audit process, HHI identifies if the medical record supports the RUG level billed. This in turn yields: Optimization of the potential RUG level. Insulation of RUG scores billed. Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 26
- 27. How We Do It 2. Case Management: Through the chart audit process, HHI provides clinical recommendations to the care rendered. For example: Pendulum Exercises: HHI Consultant finds a Therapist did not realize that a patient with a fractured humerus would benefit from pendulum exercises 4x/day to prevent frozen shoulder. Staples: HHI Consultant finds that the Nurse is unaware of the need for staple removal underneath ankle cast Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 27
- 28. How We Do It 3. System Training: Through the chart audit process, HHI identifies educational, training and policy needs. Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 28
- 29. How We Do It Site Visit Process •Site Visit •Site Visit Preparation Step Step 1 2 Step Step 4 3 •Report •Total Generation Access Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 29
- 30. How We Do It Intensive Medical Record Reviews Teaching, Training and Extensive Chart Audit Process in Order to Ensure: MDS Accuracy MDS Supporting Documentation Nursing Documentation Therapy Documentation Clinically Appropriate Care Compliance Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 30
- 31. Spectrum of Services Medicare/MDS/PPS CHHRP Consulting Medicare Part A and B Medicare Compliance Billing Process Case Mix Consulting Talent Management Therapy Program Denials Management Development Clinically Appropriate Mock RAC Audits Stay Mock Survey QIS MMQ Audits Medicare Part B Program Seminars MDSC Mentor Program Webinars Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 31
- 32. Harmony Healthcare International Results
- 33. Results COMPLIANCE INCREASE ACCURACY Company wide education Preparedness under audits/survey Better equipped to handle frequent regulatory changes Greater understanding of the rules and regulations of Medicare Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 33
- 34. Increased Accuracy Yields Improved Results Total Medicare Part A Revenue Medicare Part A Rate August - November April - July $545.99 $550,000 $550 $533.94 $475,000 $399,926 $433,584 $525 $509.02 $400,000 $344,102 $351,761 $506.79 $325,000 $500 $486.07 $250,000 $137,301 $475 $175,000 $100,000 $450 Start Date Aug Sep Oct Nov Start Date Apr May Jun Jul “Give good care, document accurately and the results will follow…” Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 34
- 35. Harmony Healthcare International Our Team
- 36. Our Team Harmony (HHI) presently employs 50+ people in the United States The Harmony (HHI) Consulting Team More than 25 accomplished clinicians Licensed OTs, PTs, SLPs, Nurses, Administrators Cross trained to communicate effectively with all disciplines Servicing all regions across the United States Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 36
- 37. Our Mission To ensure that all patients residing in nursing homes receive the care that they are entitled to regardless of payor source. Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 37
- 38. Our History Founded in 1999 Privately owned and operated Inc. Magazine 5,000 List Ranked among the top 5,000 fastest growing private companies in America three years in a row Servicing clients nationwide; for-profit, not-for- profit, standalone, and multi-facility chains Certified more than 3,000 clinicians on the MDS Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 38
- 39. Harmony Healthcare International “We Care about Care” Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 39
- 40. Contact Us Harmony Healthcare International 1 (800) 530 – 4413 info@Harmony-Healthcare.com www.Harmony-Healthcare.com Copyright © 2013 All Rights Reserved Harmony Healthcare International, Inc. 40
Editor's Notes
- Does this send the right message?Does it feel like all three are part of our interactions all of the time?Could it be displayed in a different way? Funnel?Should we be emphasizing any one more than the others?
- Do we need explanation slides for each of the items above?Does that make the deck too long?Does it make it more comprehensive and more valuable?Compliance & Reimbursement Audits/Consulting: Medicare MDS PPS Case Mix Integrity RAC SurveyRegulatory Preparedness Mock Survey QIS Corporate Compliance 5 StarTherapy Program Development (See brochures) Operational assessments Clinical Assessments Staffing RequirementsDenial Management (get bullets from Elisa)
- Do we need explanation slides for each of the items above?Does that make the deck too long?Does it make it more comprehensive and more valuable?I.E. customized training—Where is it? Is it for clients or non-clients?Customized TrainingPublic & Private TrainingWebinarsCertifications & Competency
- Jeff—add Tracy’s original slides in hereHow much of the information above is implied and how much needs further explanation.I.E. Exclusive Partnerships—is that worth defining in further detail?Flip the Direct Contingency Placements with Talent Management Training & Consulting
- Alternative title for common problems“The Why?”…as in why Harmony?“We Understand Your Pain”Title Slide “What we see…”Make the Font biggerBold:Accurate ReimbursementSafe and effective dischargesExpert set of handsUnproductive timeIncreased Exposure to Governmental AuditsThe need for survey compliance & readinessNumeric centric approachIndustry Thrust on Audits
- Alternative title for common problems“The Why?”…as in why Harmony?“We Understand Your Pain”Title Slide “What we see…”Make the Font biggerBold:Accurate ReimbursementSafe and effective dischargesExpert set of handsUnproductive timeIncreased Exposure to Governmental AuditsThe need for survey compliance & readinessNumeric centric approachIndustry Thrust on Audits
- Needs to be prettierShould there be a mention of achieving your goals?One for consulting, education, talent management
- 1. Looks like a lot of text—could it be condensed?2. Maybe we need slides like, “Identify Needs—Step 1” and so on…
- Do each of these need explanations or examples? I.e. frequency—is the implication of “frequency” understood without any context to the recipient? Maybe we need slides like, “Evaluate Options—Step 1” and so on…
- 1. Do each of these need explanations or examples? I.e. frequency—is the implication of “frequency” understood without any context to the recipient?
- 1. Looks like a lot of text—could it be condensed?2. Maybe we need slides like, “Identify Needs—Step 1” and so on…
- Do each of these need explanations or examples? I.e. frequency—is the implication of “frequency” understood without any context to the recipient? Maybe we need slides like, “Evaluate Options—Step 1” and so on…
- 1. Do each of these need explanations or examples? I.e. frequency—is the implication of “frequency” understood without any context to the recipient?
- 1. Looks like a lot of text—could it be condensed?2. Maybe we need slides like, “Identify Needs—Step 1” and so on…
- Do each of these need explanations or examples? I.e. frequency—is the implication of “frequency” understood without any context to the recipient? Maybe we need slides like, “Evaluate Options—Step 1” and so on…
- Do each of these need explanations or examples? I.e. frequency—is the implication of “frequency” understood without any context to the recipient? Maybe we need slides like, “Evaluate Options—Step 1” and so on…
- Where does this belong? This belongs in “how we do it”
- Maybe we need slides like, “Identify Needs—Step 1” and so on…Do each of these need explanations or examples? I.e. frequency—is the implication of “frequency” understood without any context to the recipient?
- Does it need more explanation—i.e. compliance? accuracy?Are they qualitative results (vs. quantitative results)Should “Qualitative Results” be the title of the slide?
- Does this slide provide any value to the recipient?Or is this just a nice conclusion to sum up the presentation?
- Is this how we want to display Harmony? Do we want to spell out Harmony Healthcare International?Do we want to use “we” or “our”
- To review with KrisOld: “To educate all disciplines on the rules and regulations, surrounding service delivery in the long term care arena, in order to ensure that all residents achieve his or her highest practical state of well being per OBRA ’87.”
- Are the numbers current?“Our History” as the title slide (Elisa likes this)Servicing clients nationwide, for-profit, not-for-profit, standalone, and multi-facility chains.
- To review with KrisOld: “To educate all disciplines on the rules and regulations, surrounding service delivery in the long term care arena, in order to ensure that all residents achieve his or her highest practical state of well being per OBRA ’87.”